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    Ann Epidemiol. 2009 Jun;19(6):404-9. Epub 2009 Apr 11.

    Determinants of cutaneous injection-related infection care at a supervised injecting facility.

    Source

    British Columbia Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, Canada.

    Abstract

    PURPOSE:

    To evaluate the factors associated with receiving cutaneous injection-related infection (CIRI) care among a representative cohort of supervised injecting facility (SIF) users.

    METHODS:

    Data were collected biannually as part of a prospective cohort, the Scientific Evaluation of Supervised Injection study. Kaplan-Meier methods and Cox proportional hazards regression with recurrent events were used to examine incidence and factors associated with CIRI care, respectively.

    RESULTS:

    One thousand eighty individuals were recruited between December 1, 2003 and January 31, 2008. The incidence density of participants receiving CIRI care was 22.0 per 100 person-years (95% confidence interval [CI]: 19.6-24.6). In the adjusted Cox proportional hazard model, female sex (adjusted hazard ratio [AHR]=1.87 [95% CI: 1.32-2.64]), unstable housing (AHR=1.39 [95% CI: 1.02-1.88]), and daily heroin injection (AHR=1.52 [95% CI: 1.13-2.04]) were independently associated with receiving CIRI care at the SIF.

    CONCLUSIONS:

    These results describe who is more likely to receive CIRI care, which is of use to those engaged with policy and practice of treatment regimens involving this population.

    PMID:
    19364660
    [PubMed - indexed for MEDLINE]

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